Provider Demographics
NPI:1801962048
Name:PRICE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26911 CARLA PL
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-8525
Mailing Address - Country:US
Mailing Address - Phone:813-727-3155
Mailing Address - Fax:813-973-1849
Practice Address - Street 1:26911 CARLA PL
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-8525
Practice Address - Country:US
Practice Address - Phone:813-727-3155
Practice Address - Fax:813-973-1849
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist